Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reece Moore, MD

Individual provider Plastic Surgery Physician · NPI 1104407980

Reece Moore, MD is a Plastic Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 Michigan St NE Fl 9
Grand Rapids, MI 49503-2531
Phone: (866) 989-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 Jonathan Lucas St, Charleston, SC 29425-8900 — (704) 494-1413

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4351049935 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301516607 (MI)

Record details

NPI number1104407980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2021
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address275 Michigan St Ne Fl 9, Grand Rapids, MI 49503-2531

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